Mannose-Binding Lectin in Obesity with Different Degrees of Metabolic Syndrome Abnormalities: Association with Atherogenic and Metabolic Traits

Strack, Christina and Baessler, Andrea and Wagner, Florian and Bruxmeier, Janine and Yaroslavskii, Oleg and Rousseva, Elena and Loew, Thomas and Riegger, Gunter and Schmitz, Gerd and Fischer, Marcus (2012) Mannose-Binding Lectin in Obesity with Different Degrees of Metabolic Syndrome Abnormalities: Association with Atherogenic and Metabolic Traits. JOURNAL OF ATHEROSCLEROSIS AND THROMBOSIS, 19 (6). pp. 539-551. ISSN 1340-3478, 1880-3873

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Abstract

Aim: In subjects with metabolic syndrome (MetS) endothelial dysfunction is a very consistent finding. Processes leading to endothelial dysfunction and atherosclerosis involve the altered control of subclinical inflammation by innate immune defenses that possibly include mannose-binding lectin (MBL). We investigated the associations of MBL with traits of MetS and early atherosclerosis in obese subjects before and after marked weight reduction. Methods: In a prospective longitudinal study, MBL concentrations of 96 severely obese subjects with and without MetS (empty set BMI with MetS 41.0 +/- 7.9 kg/m(2), empty set BMI without MetS 39.4 +/- 7.7 kg/m(2)) were examined in association with markers of insulin resistance, dyslipidemia, adipokines, and subclinical atherosclerosis before and after marked weight loss (empty set weight loss 20 +/- 8 kg after 3 months of participation in a standardized weight reduction program), in addition to the study of 25 seemingly healthy lean subjects (BMI 20-25 kg/m(2)). Results: MBL concentrations did not differ between healthy lean and severely obese subjects independently of the presence of metabolic abnormalities. In severely obese subjects there was no significant difference concerning the cardiovascular risk profile, apolipoproteins, inflammatory and metabolic parameters, and markers of endothelial dysfunction and atherosclerosis between subjects with functional MBL deficienct (MBL < 778 ng/mL) and MBL sufficient (MBL >= 778 ng/mL) obesity. Marked weight loss did not influence MBL levels. Conclusions: Our findings suggest that plasma levels of MBL did not differ between healthy lean and severely obese subjects. MBL did not affect cardiovascular risk factors, or markers of endothelial dysfunction and early atherosclerosis in severely obese patients before and after marked weight loss.

Item Type: Article
Uncontrolled Keywords: CORONARY-ARTERY-DISEASE; INSULIN-RESISTANCE; INNATE IMMUNITY; MYOCARDIAL-INFARCTION; WEIGHT-LOSS; RISK-FACTOR; DEFICIENCY; COMPLEMENT; ATHEROSCLEROSIS; POLYMORPHISMS; Mannose-binding lectin; Metabolic syndrome; Atherosclerosis; Weight reduction
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Innere Medizin II
Medicine > Abteilung für Psychosomatische Medizin
Medicine > Lehrstuhl für Klinische Chemie und Laboratoriumsmedizin
Depositing User: Dr. Gernot Deinzer
Date Deposited: 25 May 2020 04:55
Last Modified: 25 May 2020 04:55
URI: https://pred.uni-regensburg.de/id/eprint/19446

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